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  1. psnet.ahrq.gov/issue/reducing-prescribing-errors-hospitalized-children-ketogenic-diet
    May 18, 2022 - Study Reducing prescribing errors in hospitalized children on the ketogenic diet. Citation Text: Siegel BI, Johnson M, Dawson TE, et al. Reducing prescribing errors in hospitalized children on the ketogenic diet. Pediatr Neurol. 2020;115:42-47. doi:10.1016/j.pediatrneurol.2020.11.009. …
  2. psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-2
    January 16, 2008 - Commentary Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems. Citation Text: Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and reliabilit…
  3. psnet.ahrq.gov/issue/rapid-response-systems-prospective-study-response-times
    November 16, 2022 - Study Rapid response systems: a prospective study of response times. Citation Text: Adelstein B-A, Piza MA, Nayyar V, et al. Rapid response systems: a prospective study of response times. J Crit Care. 2011;26(6):635.e11-8. doi:10.1016/j.jcrc.2011.03.013. Copy Citation Format: …
  4. psnet.ahrq.gov/issue/developing-appreciation-patient-safety-analysis-interprofessional-student-experiences-health
    July 24, 2024 - Study Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. Citation Text: Langlois S. Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. Perspect Med Educ. 20…
  5. psnet.ahrq.gov/issue/contextual-information-influences-diagnosis-accuracy-and-decision-making-simulated-emergency
    April 19, 2013 - Study Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. Citation Text: McRobert AP, Causer J, Vassiliadis J, et al. Contextual information influences diagnosis accuracy and decision making in simulated emergency medicin…
  6. psnet.ahrq.gov/issue/medical-improv-novel-approach-teaching-communication-and-professionalism-skills
    November 25, 2020 - Commentary Medical improv: a novel approach to teaching communication and professionalism skills. Citation Text: Watson K, Fu B. Medical Improv: A Novel Approach to Teaching Communication and Professionalism Skills. Ann Intern Med. 2016;165(8):591-592. doi:10.7326/M15-2239. Copy Citati…
  7. psnet.ahrq.gov/issue/integrative-review-patient-safety-studies-care-and-safety-patients-communication-disabilities
    April 10, 2019 - Review An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. Citation Text: Hemsley B, Georgiou A, Hill S, et al. An integrative review of patient safety in studies on the care and safety of patients with commun…
  8. psnet.ahrq.gov/issue/evaluating-implementation-rapid-response-team-considering-alternative-outcome-measures
    October 19, 2022 - Study Evaluating implementation of a rapid response team: considering alternative outcome measures. Citation Text: Moriarty JP, Schiebel NE, Johnson MG, et al. Evaluating implementation of a rapid response team: considering alternative outcome measures. Int J Qual Health Care. 2014;26(1)…
  9. psnet.ahrq.gov/issue/impact-pharmacotherapy-alerting-system-medication-errors
    November 10, 2015 - Study Impact of a pharmacotherapy alerting system on medication errors. Citation Text: Natali BJ, Varkey AC, Garey KW, et al. Impact of a pharmacotherapy alerting system on medication errors. American Journal of Health-System Pharmacy. 2012;70(1). doi:10.2146/ajhp120126. Copy Citation…
  10. psnet.ahrq.gov/issue/not-overstepping-professional-boundaries-challenging-role-nurses-simulated-error-disclosures
    August 04, 2021 - Study Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. Citation Text: Jeffs L, Espin S, Rorabeck L, et al. Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. J Nurs Care Qual. …
  11. psnet.ahrq.gov/issue/user-satisfaction-computerized-order-entry-system-and-its-effect-workplace-level-stress
    August 27, 2017 - Study User satisfaction with computerized order entry system and its effect on workplace level of stress. Citation Text: Ghahramani N, Lendel I, Haque R, et al. User satisfaction with computerized order entry system and its effect on workplace level of stress. J Med Syst. 2009;33(3):19…
  12. psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe
    June 17, 2020 - Commentary The role of purple pens in learning to prescribe. Citation Text: Kinston R, McCarville N, Hassell A. The role of purple pens in learning to prescribe. Clin Teach. 2019;16(6):598-603. doi:10.1111/tct.12991. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…
  13. psnet.ahrq.gov/issue/august-always-nightmare-results-royal-college-physicians-edinburgh-and-society-acute-medicine
    November 05, 2014 - Study 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. Citation Text: Vaughan L, McAlister G, Bell D. 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh a…
  14. psnet.ahrq.gov/issue/adverse-events-among-hospital-medicare-patients-2021-and-2022
    November 20, 2024 - Book/Report Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022. Citation Text: Rodrick D, Timashenka A, Umscheid C. Adverse Events Among In-Hospital Medicare Patients In 2021 And 2022. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Publication no. …
  15. psnet.ahrq.gov/issue/comparative-performance-pediatric-weight-estimation-techniques-human-factor-errors-analysis
    March 30, 2022 - Study Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Citation Text: Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Pediatr Emerg Care. 201…
  16. psnet.ahrq.gov/issue/association-between-frequency-self-reported-medical-errors-and-anesthesia-trainee-supervision
    July 19, 2017 - Study The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training. Citation Text: De Oliveira GS, Rahmani R, Fitzgerald PC, et al. The association between frequency of self-reported m…
  17. psnet.ahrq.gov/issue/errors-and-omissions-hospital-prescriptions-survey-prescription-writing-hospital
    April 13, 2022 - Study Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. Citation Text: Calligaris L, Panzera A, Arnoldo L, et al. Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. BMC Clin Pharmacol. 2009;9:9. d…
  18. psnet.ahrq.gov/issue/making-patient-safety-and-quality-improvement-act-2005-work
    July 11, 2018 - Commentary Making the Patient Safety and Quality Improvement Act of 2005 work. Citation Text: Vemula R, Assaf R, Al-Assaf AF. Making the Patient Safety and Quality Improvement Act of 2005 work. J Healthc Qual. 2007;29(4):6-10. Copy Citation Format: Google Scholar PubMed B…
  19. psnet.ahrq.gov/issue/evaluation-safety-radiation-oncology-setting-using-failure-mode-and-effects-analysis
    January 22, 2017 - Study Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. Citation Text: Ford E, Gaudette R, Myers L, et al. Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. Int J Radiat Oncol Biol Phys. 2009;74(3):8…
  20. psnet.ahrq.gov/issue/improving-situation-awareness-advance-patient-outcomes-systematic-literature-review
    January 16, 2010 - Review Improving situation awareness to advance patient outcomes: a systematic literature review. Citation Text: Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a systematic literature review. Comput Inform Nurs. 2024;42(4):277-288.…

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